MEDICARE: JAUNA SOUZA-QUATRANO DMD, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1144850397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAUNA SOUZA-QUATRANO DMD, PLLC

Provider Business Mailing Address
First Line	:	1403 TUCKER RD
Second Line	:
City	:	DARTMOUTH
State	:	MA
Zip	:	02747-3152
Country	:	US
Telephone Number	:	508-990-1499
Fax Number	:

Provider Business Practice Location Address
First Line	:	1403 TUCKER RD
Second Line	:
City	:	DARTMOUTH
State	:	MA
Zip	:	02747-3152
Country	:	US
Telephone Number	:	508-990-1499
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/ORTHODONTIST
Name	:	DR. JAUNA L SOUZA-QUATRANO
Credential	:	DMD
Telephone Number	:	508-951-7772

Provider Enumeration Date	:	01/16/2020
Last Update Date	:	01/16/2020

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